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St Paul Primary Care
Primary Care Clinic/Center in South St Paul, Minnesota
NPI 1770972382

St Paul Primary Care is a Primary Care Clinic/Center based in Minneapolis, MN and is specialized in Primary Care. St Paul Primary Care practices in South St Paul, MN. The NPI Number for St Paul Primary Care is 1770972382 and holds a License No. 43414 (Minnesota).

The current practice location address for St Paul Primary Care is 1345 Thompson Ave, South St Paul, MN and can be reached out via phone at 651-451-2711.

Location: 1345 Thompson Ave, South St Paul, MN, 55408-1631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770972382
Provider Name
St Paul Primary Care
Credential
Provider Entity Type
Organization
Address
1345 Thompson Ave, South St Paul, MN, 55408-1631
Phone Number
651-451-2711
Fax Number
Provider Enumeration Date
01/20/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100025256 05 MN
080022382 01 MN MEDICARE 080022382
institution
Provider Business Practice Location Address Details
Address
1345 Thompson Ave
City
South St Paul
State
Minnesota
Zip
55075-1410
Phone Number
651-451-2711
Fax Number
person
Provider Business Mailing Address Details
Address
1345 Thompson Ave
City
South St Paul
State
Minnesota
Zip
55075-1410
Phone Number
651-451-2711
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
43414 (Minnesota)
Definition
Definition to come...
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